scholarly journals Thrombogenic Catheter-Associated Superior Vena Cava Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Imran Shaikh ◽  
Kenneth Berg ◽  
Nicholas Kman
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
External Compression ◽  
Central Lines ◽  
Svc Syndrome ◽  
History Of ◽  
Vena Cava Syndrome

Superior vena cava syndrome has historically been associated with malignancy. With the increasing use of indwelling central lines, catheters, and pacemakers in the past decade, there have been an increasing number of cases associated with thrombosis rather than by direct external compression. Patients presenting to the ED with an acute process of SVC syndrome need to be assessed in a timely fashion. Computed tomography angiography (CTA) or magnetic resonance angiogram (MRA) are superb modalities for diagnosis and can quickly be used in the ED. Treatment is oriented towards the underlying cause of the syndrome. In cases of thrombogenic catheter-associated SVC syndrome, anticoagulation is the mainstay of treatment. We present a case report and discussion of a 56-year-old male with a history of metastatic colorectal cancer and an indwelling central venous port with acute signs and symptoms of superior vena cava syndrome.

scholarly journals Malignant superior vena cava syndrome presenting after trauma

CJEM ◽  
1999 ◽  
Vol 1 (02) ◽  
pp. 112-114
Author(s):  
Laura A. Price ◽  
Trevor L. Gilkinson
Keyword(s):  
Superior Vena Cava ◽  
Malignant Disease ◽  
Motor Vehicle ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Motor Vehicle Crash ◽  
Svc Syndrome ◽  
Facial Swelling ◽  
Vena Cava Syndrome

SUMMARY: A 41-year-old man was brought to the ED after a motor vehicle crash. On presentation, he demonstrated symptoms compatible with superior vena cava (SVC) syndrome, including extreme dyspnea, face and neck cyanosis and facial swelling. A chest tube was inserted and drained large amounts of sanguineous fluid. An exploratory thoracotomy revealed an extensive tumour encasing the SVC and the hilum. Biopsy confirmed the diagnosis of T-cell lymphoma. The most common cause of SVC syndrome is malignant disease, with bronchogenic carcinoma and lymphoma being most frequent. Review of the literature uncovered only a few anecdotal reports of traumatic SVC syndrome. There are no previous reported cases of malignant SVC syndrome presenting in association with trauma.

A review of endovascular stenting for superior vena cava syndrome in fibrosing mediastinitis

2019 ◽  
Vol 25 (2) ◽  
pp. 174-183
Author(s):  
Himanshu Deshwal ◽  
Subha Ghosh ◽  
Karen Magruder ◽  
John R Bartholomew ◽  
Jennifer Montgomery ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Endovascular Stenting ◽  
Fibrosing Mediastinitis ◽  
First Line Therapy ◽  
Svc Syndrome ◽  
Life Threatening ◽  
Vena Cava Syndrome

Fibrosing mediastinitis (FM) is a rare disorder of inflammation and fibrosis involving the mediastinum. The formation of fibroinflammatory mass in the mediastinum can lead to obstruction of mediastinal structures and cause severe debilitating and life-threatening symptoms. Superior vena cava syndrome (SVCS) is a dreaded complication of FM with no medical therapy proven to be efficacious. Spiral vein grafting has long been utilized as first-line therapy for SVC syndrome due to FM. Endovascular repair with stents and angioplasty for malignant causes of SVC syndrome is well established. However, there are limited data on their utility in SVC syndrome due to FM. We present two cases of SVC syndrome due to FM treated with endovascular stenting and a detailed review of current literature on its utility in SVCS due to benign causes.

scholarly journals Rare cause of superior vena cava syndrome: a giant bulla

2018 ◽  
Vol 11 (1) ◽  
pp. bcr-2018-226477 ◽  
Author(s):  
Guntug Batihan ◽  
Ozan Usluer ◽  
Seyda Ors Kaya
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Thoracoscopic Surgery ◽  
Superior Vena ◽  
Vena Cava ◽  
External Compression ◽  
Extensive Search ◽  
Giant Bulla ◽  
Vena Cava Syndrome ◽  
Video Assisted Thoracoscopic Surgery

Superior vena cava syndrome (SVCS) is a group of symptoms caused by obstruction of superior vena cava. External compression caused by benign or malign processes is the most common physiopathology. We aim to present a 29-year-old man with non-productive cough, facial plethora and venous distention of the neck. Right apical tense bulla which was compress superior vena cava was detected and video-assisted thoracoscopic surgery applied. Our extensive search found out that only one report of SVCS secondary to bulla is available on Medline.

scholarly journals The milky way

2021 ◽  
Author(s):  
Matteo Daverio ◽  
Mariaenrica Tine' ◽  
Paolo Spagnolo
Keyword(s):  
Superior Vena Cava ◽  
Milky Way ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
Underlying Disease ◽  
Systemic Effects ◽  
Interventional Pulmonology ◽  
Vena Cava Syndrome

Mediastinal masses may present with signs and symptoms due to either compression of mediastinal structures or systemic effects of the underlying disease. The present case highlights the advantages of interventional pulmonology in the diagnosis of lymphoma as a cause of chylothorax and superior vena cava syndrome.  

scholarly journals Endovascular stenting for treatment of superior vena cava syndrome

2015 ◽  
Vol 05 (04) ◽  
pp. 096-098
Author(s):  
Subramanyam K. ◽  
Janardhan Kamath ◽  
Dilip Johny ◽  
Paul T. Joyes
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Malignant Tumors ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
Endovascular Stenting ◽  
Vena Cava Syndrome ◽  
Procedural Success ◽  
Upper Mediastinum

AbstractSuperior vena cava syndrome (SVCS) is a well-known manifestation of benign and malignant tumors of the upper mediastinum. Superior vena cava (SVC) obstruction and thrombosis caused by indwelling venous catheters is a growing problem in patients on regular haemodialysis. We present a 62-year-old woman with typical signs and symptoms of SVCS, secondary to thrombosis surrounding the indwelling central catheter who was treated with endovascular stenting by the percutaneous approach. We obtained both procedural success with complete restoration of blood flow and immediate relief of symptoms.

scholarly journals What lies downstream? A case of superior vena cava syndrome presenting in the dermatology clinic: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2091961
Author(s):  
Rochelle Tonkin ◽  
Christopher Sladden
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Dermatology Clinic ◽  
Vena Cava Thrombosis ◽  
History Of ◽  
Vena Cava Syndrome ◽  
Facial Edema ◽  
Associated Malignancy

A 75-year-old female presented with a 1 year history of a firm, diffusely swollen, and erythematous facial plaque. She had preceding unsuccessful investigations and treatment for angioedema. Full-skin examination revealed multiple prominent varicosities on the chest and abdomen. Superior vena cava syndrome was suspected. Solid facial edema (Morbihan’s syndrome) and various infiltrates included in the differential diagnosis were ruled out with a skin biopsy. Chest computed tomography confirmed a complete superior vena cava thrombosis. Extensive workup for associated malignancy has to date been unremarkable, and as yet an underlying cause remains to be found.

scholarly journals Bilateral breast swelling secondary to superior vena cava obstruction and subclavian vein thrombosis

2013 ◽  
Vol 46 (4) ◽  
pp. 252-254 ◽  
Author(s):  
Ariadne Mayumi Yamada ◽  
Ana Lucia Kefalas Oliveira Melo ◽  
Gesner Pereira Lopes ◽  
Genesio Borges de Andrade Neto ◽  
Valesca Bizinoto Monteiro ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Present Report ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
Systemic Diseases ◽  
Superior Vena Cava Obstruction ◽  
Vein Thrombosis ◽  
Vena Cava Syndrome

Superior vena cava syndrome is defined by a set of signs and symptoms secondary to superior vena cava obstruction caused principally by malignant diseases. The present report describes the case of an unusual clinical manifestation of this syndrome with bilateral breast swelling, and emphasizes the relevance of knowledge on mammographic signs of systemic diseases.

scholarly journals Superior Vena Cava Syndrome and Colon Carcinoma: A Report of a Multifactorial Association

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Joana Espírito Santo ◽  
Inês Coutinho ◽  
Ana Pimentel ◽  
Rui Garcia ◽  
Rui Marques dos Santos
Keyword(s):  
Colon Carcinoma ◽  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Transfusion Therapy ◽  
Clinical Prognosis ◽  
Svc Syndrome ◽  
Increased Risk ◽  
Vena Cava Syndrome

Introduction. Superior vena cava (SVC) syndrome results from the obstruction of blood flow through the SVC, having distinct pathophysiological underlying mechanisms. Cancer is associated with an increased risk of thromboembolism that varies according to patient-, tumor-, and treatment-related factors. An individualized clinical approach is important to pursue the accurate diagnosis of the underlying pathology causing thromboembolism in cancer patients.Case Presentation. The authors present a case of a 58-year-old male with an infrequent presentation of an unknown colon carcinoma, who has never had any symptom until he was hospitalized with the diagnosis of superior vena cava syndrome and pulmonary thromboembolism. The patient had an advanced disease by the time of diagnosis and molecular alterations contributing to abnormal hemostasis. He presented venous and arterial thromboembolism and developed disseminated intravascular coagulopathy after surgery, anticoagulant and transfusion therapy, dying 40 days after the hospitalization.Conclusion. The authors discuss thromboembolic disease and tumor metastasis roles in a cancer patient with SVC syndrome. Thromboembolism in a malignancy context is a challenging clinical entity. A multifactorial perspective of the thrombotic disease is warranted to approach thromboembolism risk and stratify patients suitable to receive adequate anticoagulant prophylaxis and targeted therapies, aiming to improve clinical prognosis.

Early Thrombosis of the Superior Vena Cava in a Patient with a Central Venous Catheter and Carcinoma of the Ampulla of Vater

2008 ◽  
Vol 74 (12) ◽  
pp. 1195-1197
Author(s):  
Robert Cannon ◽  
Malay Shah ◽  
Erin Suydam ◽  
Angela Gucwa ◽  
Talmadge Bowden ◽  
...  
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Ampulla Of Vater ◽  
Whipple Procedure ◽  
Collateral Flow ◽  
Central Venous ◽  
External Compression ◽  
Vena Cava Syndrome

Superior vena cava syndrome results from obstruction of flow through the vessel either by external compression or thrombosis. External compression by intrathoracic neoplasms is the most common etiology. Thrombosis of the vessel most often occurs in the setting of indwelling catheters or pacemakers. The diagnosis is suggested by the clinical manifestations of facial and upper extremity swelling, dyspnea, and cough. It is confirmed by CT scan showing the development of collateral flow around the lesion. In this report, we present a patient who developed superior vena cava thrombosis after undergoing a short period of central venous catheterization and a Whipple procedure for adenocarcinoma of the ampulla of Vater. The endothelial damage caused by the catheter, the low-flow state induced by the large fluid shifts during the operation, and the hypercoagulable state induced by malignancy fulfill Virchow's triad for venous thrombosis. To our knowledge, this is the first reported case of superior vena cava syndrome after the Whipple procedure with symptoms appearing after a shorter period of catheterization than previously reported in the adult literature.

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